Individual
TAMRA LYNN CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-5337
Mailing address
412 PARK ST, FARMINGTON, MO 63640-2656
(573) 330-7588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018017919
MO
Other
Enumeration date
09/26/2018
Last updated
09/18/2024
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